Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MRS. DIANTHA JEAN LARSON CCDC T
NPI 1669467577
Counselor - Addiction (Substance Use Disorder) in Watertown, SD
Active since September 16, 2005
About Mrs. Diantha Jean Larson Ccdc T NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIANTHA JEAN LARSON CCDC T (NPI 1669467577) is an individual addiction (substance use disorder) provider in Watertown, South Dakota, licensed in South Dakota (3085) and active in the NPI registry since September 2005.
NPPES Registry Identity
NPI1669467577
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. DIANTHA JEAN LARSONCredential: CCDC T
Location Address123 19TH ST NEWatertown, SD 57201-2823
Mailing AddressPo Box 1030Watertown, SD 57201-6030 · (605) 886-0123 · Fax (605) 886-5447
Phone(605) 886-0123
Fax(605) 886-5447
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1669467577 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in SD · 3085
123 19TH ST NE, Watertown, SD 57201
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
123 19TH ST NE
WATERTOWN, SD 57201
WATERTOWN, SD 57201
Counselor (Addiction (Substance Use Disorder))
123 19TH ST NE
WATERTOWN, SD 57201
WATERTOWN, SD 57201
Counselor (Addiction (Substance Use Disorder))
123 19TH ST NE
WATERTOWN, SD 57201
WATERTOWN, SD 57201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669467577, enumerated as an "individual" on September 16, 2005.
The provider is located at 123 19TH ST NE WATERTOWN, SD 57201 and the phone number is (605) 886-0123.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).